Don't just do a stable lobectomy. The data does support that, to do some pleural-based management. But, you know, how much of the pleuris should you take out? Is it 25%? Is it just the apex? Is it 50%? Do you really need to strip the entire chest wall? Who knows?
This one is really clear. Don't do cross-sectional imaging on children to help you make clinical decision about these patients. The data are supportive that conclusion.
Cross-sectional imaging should not be performed on children with spontaneous pneumothorax to help make clinical decisions; the data support this conclusion
Journal of Pediatric Surgery Article Review: October 2023
▶Ep 4 · 5:39
quoteThe first question should be, do we need to do anything at all? But it's not just the 1 centimeter pneumothorax that most pediatric surgeons wouldn't. Put a tube in, right? What about the big pneumothoraces? And I would tell you that large prospective study demonstrated that you can safely observe even children with even a sizable pneumothorax.↗
▶Ep 4 · 5:43
clinicalA large prospective study demonstrated that even children with sizable pneumothorax can be safely observed↗
▶Ep 4 · 6:22
quoteThis one is really clear. Don't do cross-sectional imaging on children to help you make clinical decision about these patients. The data are supportive that conclusion.↗
▶Ep 4 · 6:22
guidelineCross-sectional imaging should not be performed on children with spontaneous pneumothorax to help make clinical decisions; the data support this conclusion↗
▶Ep 4 · 6:42
quoteIf they're reaccumulate air, well then, you have your answer. They have an ongoing air link and that patient warrants an operation.↗
▶Ep 4 · 6:42
clinicalIf patients reaccumulate air after initial management, they have an ongoing air leak and warrant an operation↗
▶Ep 4 · 6:51
quoteNow, that's tricky. Don't just do a stable lobectomy. The data does support that, to do some pleural-based management. But, you know, how much of the pleuris should you take out? Is it 25%? Is it just the apex? Is it 50%? Do you really need to strip the entire chest wall? Who knows?↗
▶Ep 4 · 6:51
clinicalThe data support doing some pleural-based management rather than just staple lobectomy alone for spontaneous pneumothorax↗
▶Ep 4 · 7:28
epidemiologicalStudies are not available to demonstrate that one pleural-based procedure is better than another↗
▶Ep 4 · 7:28
quoteStudies just aren't there to really demonstrate one pleural based procedure is better than. Another↗
▶Ep 4 · 7:52
quoteThis, I would say, has the least data in the literature to support really any conclusive suggestion. The gist is, and the way we worded it in the manuscript is whatever you did before, do something more.↗
▶Ep 4 · 7:52
opinionFor recurrent pneumothorax, whatever procedure was done before, do something more aggressive↗
Elizabeth's statements about Congenital Lung Lesions (CPAM)24 statements
Journal of Pediatric Surgery Article Review: October 2023
▶Ep 31 · 5:39
quoteThe first question should be, do we need to do anything at all? But it's not just the 1 centimeter pneumothorax that most pediatric surgeons wouldn't. Put a tube in, right? What about the big pneumothoraces? And I would tell you that large prospective study demonstrated that you can safely observe even children with even a sizable pneumothorax.↗
▶Ep 31 · 5:39
quoteThe first question should be, do we need to do anything at all? But it's not just the 1 centimeter pneumothorax that most pediatric surgeons wouldn't. Put a tube in, right? What about the big pneumothoraces? And I would tell you that large prospective study demonstrated that you can safely observe even children with even a sizable pneumothorax.↗
▶Ep 31 · 5:43
clinicalA large prospective study demonstrated that even children with sizable pneumothorax can be safely observed↗
▶Ep 31 · 5:43
clinicalA large prospective study demonstrated that even children with sizable pneumothorax can be safely observed↗
▶Ep 31 · 6:22
guidelineCross-sectional imaging should not be performed on children with spontaneous pneumothorax to help make clinical decisions; the data support this conclusion↗
▶Ep 31 · 6:22
quoteThis one is really clear. Don't do cross-sectional imaging on children to help you make clinical decision about these patients. The data are supportive that conclusion.↗
▶Ep 31 · 6:22
guidelineCross-sectional imaging should not be performed on children with spontaneous pneumothorax to help make clinical decisions; the data support this conclusion↗
▶Ep 31 · 6:22
quoteThis one is really clear. Don't do cross-sectional imaging on children to help you make clinical decision about these patients. The data are supportive that conclusion.↗
▶Ep 31 · 6:42
quoteIf they're reaccumulate air, well then, you have your answer. They have an ongoing air link and that patient warrants an operation.↗
▶Ep 31 · 6:42
clinicalIf patients reaccumulate air after initial management, they have an ongoing air leak and warrant an operation↗
▶Ep 31 · 6:42
quoteIf they're reaccumulate air, well then, you have your answer. They have an ongoing air link and that patient warrants an operation.↗
▶Ep 31 · 6:42
clinicalIf patients reaccumulate air after initial management, they have an ongoing air leak and warrant an operation↗
▶Ep 31 · 6:51
clinicalThe data support doing some pleural-based management rather than just staple lobectomy alone for spontaneous pneumothorax↗
▶Ep 31 · 6:51
quoteNow, that's tricky. Don't just do a stable lobectomy. The data does support that, to do some pleural-based management. But, you know, how much of the pleuris should you take out? Is it 25%? Is it just the apex? Is it 50%? Do you really need to strip the entire chest wall? Who knows?↗
▶Ep 31 · 6:51
quoteNow, that's tricky. Don't just do a stable lobectomy. The data does support that, to do some pleural-based management. But, you know, how much of the pleuris should you take out? Is it 25%? Is it just the apex? Is it 50%? Do you really need to strip the entire chest wall? Who knows?↗
▶Ep 31 · 6:51
clinicalThe data support doing some pleural-based management rather than just staple lobectomy alone for spontaneous pneumothorax↗
▶Ep 31 · 7:28
epidemiologicalStudies are not available to demonstrate that one pleural-based procedure is better than another↗
▶Ep 31 · 7:28
quoteStudies just aren't there to really demonstrate one pleural based procedure is better than. Another↗
▶Ep 31 · 7:28
quoteStudies just aren't there to really demonstrate one pleural based procedure is better than. Another↗
▶Ep 31 · 7:28
epidemiologicalStudies are not available to demonstrate that one pleural-based procedure is better than another↗
▶Ep 31 · 7:52
opinionFor recurrent pneumothorax, whatever procedure was done before, do something more aggressive↗
▶Ep 31 · 7:52
quoteThis, I would say, has the least data in the literature to support really any conclusive suggestion. The gist is, and the way we worded it in the manuscript is whatever you did before, do something more.↗
▶Ep 31 · 7:52
opinionFor recurrent pneumothorax, whatever procedure was done before, do something more aggressive↗
▶Ep 31 · 7:52
quoteThis, I would say, has the least data in the literature to support really any conclusive suggestion. The gist is, and the way we worded it in the manuscript is whatever you did before, do something more.↗
Elizabeth's statements about Congenital Pulmonary Airway Malformation9 statements
Journal of Pediatric Surgery Article Review: October 2023
▶Ep 7 · 5:39
quoteThe first question should be, do we need to do anything at all? But it's not just the 1 centimeter pneumothorax that most pediatric surgeons wouldn't. Put a tube in, right? What about the big pneumothoraces? And I would tell you that large prospective study demonstrated that you can safely observe even children with even a sizable pneumothorax.↗
▶Ep 7 · 5:43
clinicalA large prospective study demonstrated that even children with sizable pneumothorax can be safely observed↗
▶Ep 7 · 6:22
guidelineCross-sectional imaging should not be done on children to help make clinical decisions about spontaneous pneumothorax↗
▶Ep 7 · 6:22
quoteThis one is really clear. Don't do cross-sectional imaging on children to help you make clinical decision about these patients. The data are supportive that conclusion.↗
▶Ep 7 · 6:42
clinicalIf air reaccumulates after observation, the patient has an ongoing air leak and warrants an operation↗
▶Ep 7 · 6:51
clinicalData support doing some pleural-based management rather than just staple lobectomy for spontaneous pneumothorax↗
▶Ep 7 · 6:53
quoteDon't just do a stable lobectomy. The data does support that, to do some pleural-based management. But, you know, how much of the pleuris should you take out? Is it 25%? Is it just the apex? Is it 50%? Do you really need to strip the entire chest wall? Who knows?↗
▶Ep 7 · 7:28
epidemiologicalStudies are not available to demonstrate one pleural-based procedure is better than another↗
▶Ep 7 · 7:52
guidelineFor recurrent pneumothorax, whatever was done before, do something more↗
Elizabeth's statements about Esophageal Atresia12 statements
Journal of Pediatric Surgery Article Review: October 2023
▶Ep 30 · 5:39
quoteThe first question should be, do we need to do anything at all? But it's not just the 1 centimeter pneumothorax that most pediatric surgeons wouldn't. Put a tube in, right? What about the big pneumothoraces? And I would tell you that large prospective study demonstrated that you can safely observe even children with even a sizable pneumothorax.↗
▶Ep 30 · 5:43
clinicalA large prospective study demonstrated that even children with sizable pneumothorax can be safely observed↗
▶Ep 30 · 6:22
guidelineCross-sectional imaging should not be performed on children with spontaneous pneumothorax to help make clinical decisions; the data support this conclusion↗
▶Ep 30 · 6:22
quoteThis one is really clear. Don't do cross-sectional imaging on children to help you make clinical decision about these patients. The data are supportive that conclusion.↗
▶Ep 30 · 6:42
clinicalIf patients reaccumulate air after initial management, they have an ongoing air leak and warrant an operation↗
▶Ep 30 · 6:42
quoteIf they're reaccumulate air, well then, you have your answer. They have an ongoing air link and that patient warrants an operation.↗
▶Ep 30 · 6:51
clinicalThe data support doing some pleural-based management rather than just staple lobectomy alone for spontaneous pneumothorax↗
▶Ep 30 · 6:51
quoteNow, that's tricky. Don't just do a stable lobectomy. The data does support that, to do some pleural-based management. But, you know, how much of the pleuris should you take out? Is it 25%? Is it just the apex? Is it 50%? Do you really need to strip the entire chest wall? Who knows?↗
▶Ep 30 · 7:28
epidemiologicalStudies are not available to demonstrate that one pleural-based procedure is better than another↗
▶Ep 30 · 7:28
quoteStudies just aren't there to really demonstrate one pleural based procedure is better than. Another↗
▶Ep 30 · 7:52
opinionFor recurrent pneumothorax, whatever procedure was done before, do something more aggressive↗
▶Ep 30 · 7:52
quoteThis, I would say, has the least data in the literature to support really any conclusive suggestion. The gist is, and the way we worded it in the manuscript is whatever you did before, do something more.↗
Elizabeth's statements about Esophageal Atresia12 statements
Journal of Pediatric Surgery Article Review: October 2023
▶Ep 57 · 5:39
quoteThe first question should be, do we need to do anything at all? But it's not just the 1 centimeter pneumothorax that most pediatric surgeons wouldn't. Put a tube in, right? What about the big pneumothoraces? And I would tell you that large prospective study demonstrated that you can safely observe even children with even a sizable pneumothorax.↗
▶Ep 57 · 5:43
clinicalA large prospective study demonstrated that even children with sizable pneumothorax can be safely observed↗
▶Ep 57 · 6:22
quoteThis one is really clear. Don't do cross-sectional imaging on children to help you make clinical decision about these patients. The data are supportive that conclusion.↗
▶Ep 57 · 6:22
guidelineCross-sectional imaging should not be performed on children with spontaneous pneumothorax to help make clinical decisions; the data support this conclusion↗
▶Ep 57 · 6:42
clinicalIf patients reaccumulate air after initial management, they have an ongoing air leak and warrant an operation↗
▶Ep 57 · 6:42
quoteIf they're reaccumulate air, well then, you have your answer. They have an ongoing air link and that patient warrants an operation.↗
▶Ep 57 · 6:51
quoteNow, that's tricky. Don't just do a stable lobectomy. The data does support that, to do some pleural-based management. But, you know, how much of the pleuris should you take out? Is it 25%? Is it just the apex? Is it 50%? Do you really need to strip the entire chest wall? Who knows?↗
▶Ep 57 · 6:51
clinicalThe data support doing some pleural-based management rather than just staple lobectomy alone for spontaneous pneumothorax↗
▶Ep 57 · 7:28
quoteStudies just aren't there to really demonstrate one pleural based procedure is better than. Another↗
▶Ep 57 · 7:28
epidemiologicalStudies are not available to demonstrate that one pleural-based procedure is better than another↗
▶Ep 57 · 7:52
opinionFor recurrent pneumothorax, whatever procedure was done before, do something more aggressive↗
▶Ep 57 · 7:52
quoteThis, I would say, has the least data in the literature to support really any conclusive suggestion. The gist is, and the way we worded it in the manuscript is whatever you did before, do something more.↗
